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Physician Office Referrals


To refer a patient for an evaluation and treatment for swallowing, cognition, voice, or speech-language, please fill out this referral form and fax it to 918-928-4701 or email it to, along with the patient's insurance card and medical history. SNR will then contact the patient directly to arrange an appointment.


To order a swallow study (fiberoptic endoscopic evaluation of swallowing) or a videostroboscopy voice assessment, please check the option labeled 'Endoscopy' on the referral form. 


SNR will send the referring physician a copy of the patient's evaluation (including images from instrumental assessments and/or a HIPAA secure video link of the endoscopy if requested) and plan of care, along with periodic updates about the patient's progress. Feel free to call the SNR office at 918-928-4700 with any specific questions, and we are happy to help. 

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New Patients

Welcome to SNR! If your physician has ordered a speech-language pathology evaluation, please call us at 918-928-4700 or email us at to schedule your appointment. Prior to booking your appointment, SNR will need:

  • a copy of your insurance card,

  • your past medical history/ a recent physician visit note, and

  • your physician referral form (typically faxed directly to us by your physician).


If you are not being referred by a physician, call us today to discuss your case with us and find out if you could be a good treatment candidate. After discussing your symptoms, our team can help you contact your physician to obtain a referral for an evaluation if deemed appropriate. An appointment for a full evaluation will be scheduled at that time when a referral and the necessary documentation is received.


SNR is in-network with Medicare, Medicaid, Community Care (St. John and St. Francis networks), United Healthcare, most Blue Cross plans, and most other private insurance plans. Contact us to verify your benefits. 


Have questions? Reach out today!


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